ST JOSEPH MERCY HOSPITAL (NPI# 1134729114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134729114 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL |
| Practice Address |
5301 E Huron River Dr Ypsilanti MI 48197-1051 |
| Mailing Address |
20555 Victor Pkwy Livonia MI 48152-7031 |
| Practice Telephone | 7347123456 |
| Practice Fax Number | 7347120013 |
| Mailing Telephone | 7347123456 |
| Mailing Fax Number | 3129572834 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MICHAEL PAUL GUSHO (CFO) |
| Authorized Official Telephone | 2488586174 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AT HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | 230156 | 01 |
| MI | 230156 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432309 | St Joseph Mercy Hospital | Clinic/Center | 7025 E Michigan Ave, Saline, MI 48176-9479 | 2014-02-07 |
| 1174720080 | St Joseph Mercy Hospital | Rehabilitation, Substance Use Disorder Unit | 5401 Mcauley Drive, Ypsilanti, MI 48197-1011 | 2007-07-03 |
| 1588870984 | St Joseph Mercy Hospital | Psychologist | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2007-05-15 |
| 1508985045 | St Joseph Mercy Hospital | Family Medicine | 111 N Huron Street, Suite D225, Ypsilanti, MI 48197-1051 | 2007-03-28 |
| 1063517472 | St Joseph Mercy Hospital | General Acute Care Hospital | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2006-09-13 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Street Address |
5301 E HURON RIVER DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515268 | Imad Ayyar | Internal Medicine | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2005-06-01 |
| 1730711524 | Stephanie Gibson | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-02-10 |
| 1447801758 | Rachel Kyley Mccready | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-09-27 |
| 1679125579 | Ariana Bennett | Nurse Anesthetist, Certified Registered | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-07-10 |
| 1831758671 | Emily Trombley | Physical Therapist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-06-06 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1437622099 | Lauren Noelle Easterbrook | Registered Nurse | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-01-07 |
| 1023584356 | Mary Lee Beauregard | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-13 |
| 1669947933 | Kay Otto | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-12 |
| 1245705797 | Brittany K Fillipps | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
| 1619303195 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2013-09-17 |
| 1366752776 | Saint Joseph Mercy Health System | General Acute Care Hospital | 5325 Elliott Dr Ste 102, Ypsilanti, MI 48197-8633 | 2010-10-19 |
| 1073705240 | St. Joseph Mercy Hospital | General Acute Care Hospital | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2007-08-13 |
| 1679778229 | Trinity Health-michigan | General Acute Care Hospital | 5301 Mcauley Dr, Room 1267, Ypsilanti, MI 48197-1051 | 2007-06-15 |
| 1518091115 | St.joseph Mercy Health System | General Acute Care Hospital | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
| 1295246106 | Henry Ford Health Sytems | General Acute Care Hospital | 18800 Hubbard Dr, Dearborn, MI 48126-4305 | 2017-10-18 |
| 1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
| 1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
| 1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
| 1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| 1912334756 | Mrinal Supriya | General Acute Care Hospital | 6697 Stillwell, West Bloomfield, MI 48322-1364 | 2013-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.